A nurse in a health department is participating in an immunization clinic. The nurse should identify that which of the following children requires an alteration in the standard immunization schedule?
A 4-month-old infant who has Down syndrome
An 18-month-old toddler who has failure to thrive
A 12-month-old infant who has sickle cell disease
A 3-year-old toddler who has leukemia
The Correct Answer is D
A. A 4-month-old infant who has Down syndrome - Down syndrome itself is not a contraindication for altering the standard immunization schedule. Immunizations are typically administered based on chronological age.
B. An 18-month-old toddler who has failure to thrive - Failure to thrive, without specific contraindications, does not usually require alterations in the standard immunization schedule. Immunizations are generally administered based on chronological age.
C. A 12-month-old infant who has sickle cell disease - Sickle cell disease itself is not a contraindication for altering the standard immunization schedule. Immunizations are typically administered based on chronological age.
D. A 3-year-old toddler who has leukemia - Children with leukemia may have altered immune function due to their medical condition and treatment. In such cases, the immunization schedule may need to be adjusted based on the child's specific health status, following consultation with the healthcare provider.
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Related Questions
Correct Answer is C
Explanation
A. Herpes simplex virus.
Explanation: While Herpes simplex virus (HSV) is a common viral infection, reporting requirements may vary. In many regions, it is not necessarily a reportable infection to the health department.
B. Human papillomavirus (HPV).
Explanation: Similar to HSV, reporting requirements for Human papillomavirus (HPV) may vary. In many cases, HPV is not a reportable infection to the health department.
C. Chlamydia.
Explanation: Chlamydia is a sexually transmitted infection (STI) that is reportable to public health authorities. Reporting cases of Chlamydia to the state health department is important for monitoring and controlling the spread of the infection. This helps in implementing public health interventions and preventive measures.
D. Group B streptococcus β-hemolytic.
Explanation: Group B streptococcus (GBS) is commonly associated with infections in newborns. Reporting requirements for GBS infections may also vary, but in many cases, GBS infections in adults are not routinely reportable to the health department. However, GBS screening during pregnancy and reporting of positive results for preventive measures in newborns might be in place.
Correct Answer is B
Explanation
A. The client's blood pressure is 132/56 mm Hg.
Echinacea is not typically associated with significant effects on blood pressure. Monitoring blood pressure is essential but may not be directly related to the effectiveness of echinacea for the stated purpose.
B. The client's arthritis pain has improved.
Echinacea is often used as an alternative therapy, particularly for its potential immunostimulant properties. While its effectiveness is debated, some individuals report relief from symptoms, including arthritis pain. Monitoring the improvement of arthritis pain would be a relevant indicator of the treatment's effectiveness in this context.
C. The client's leg wound is healing.
Echinacea is not primarily known for its wound healing properties. Other factors, such as wound care practices and overall health, would likely have a more direct impact on the healing of a leg wound.
D. The client is sleeping through the night.
Echinacea is not typically associated with improvements in sleep patterns. Other factors, such as sleep hygiene or the resolution of conditions affecting sleep, would be more relevant in this context.
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